Provider Demographics
NPI:1831461334
Name:SPRINGHILL CARDIOLOGY, PLLC
Entity Type:Organization
Organization Name:SPRINGHILL CARDIOLOGY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:BADSHAH
Authorized Official - Middle Name:J
Authorized Official - Last Name:WAZIR
Authorized Official - Suffix:
Authorized Official - Credentials:MD, FACC
Authorized Official - Phone:304-766-9617
Mailing Address - Street 1:118 E RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:WV
Mailing Address - Zip Code:25314-1666
Mailing Address - Country:US
Mailing Address - Phone:304-343-0818
Mailing Address - Fax:
Practice Address - Street 1:428 DIVISION ST
Practice Address - Street 2:SUITE 1A
Practice Address - City:S CHARLESTON
Practice Address - State:WV
Practice Address - Zip Code:25309-1469
Practice Address - Country:US
Practice Address - Phone:304-766-9617
Practice Address - Fax:304-766-9626
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-31
Last Update Date:2012-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV11277174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty